| 椎弓根钉棒固定治疗不稳定型颈椎损伤 |
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Received:March 16, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 龚遂良 |
GONG Sui-liang |
嘉兴市第二医院骨科,浙江嘉兴314000 |
Department of Orthopaedics,the Second Hospital of Jiaxing,Jiaxing 314000,Zhejiang,China |
gongsuiliang@medmail.com.cn |
| 戴嘉平 |
DAI Jia-ping |
嘉兴市第二医院骨科,浙江嘉兴314000 |
Department of Orthopaedics,the Second Hospital of Jiaxing,Jiaxing 314000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2005年18卷，第10期，第599-600页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨钉棒系统经颈椎椎弓根固定治疗不稳定型颈椎损伤的适应证,评价其临床疗效。
方法:2002年2月-2004年2月共收治颈椎损伤41例,对其中不稳定型25例采用钉棒复位内固定系统经椎弓根行复位、减压、固定,男16例,女9例;年龄28～67岁,平均47.4岁。脊髓损伤Frankel分级A级7例,B级7例,C级3例,D级3例,E级5例。共经椎弓根植入螺钉116枚。观察复位情况和神经功能恢复情况。
结果:全组病例无神经、血管损伤,1例并发切口感染,复位和脊髓压迫解除满意。随访时间9个月～2年6个月,平均2年。18例不完全性脊髓损伤者Frankel功能评定改善1～3级。无内固定松动和复位丢失。
结论:采用颈椎后路经椎弓根钉棒复位固定治疗颈椎骨折脱位可获得即刻复位、减压,并有良好的稳定性,适用于多柱受损和需后路复位、减压的不稳定型颈椎损伤。 |
| [关键词]:颈椎损伤 椎弓根 减压 内固定 |
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| Transpedicular screw and rod fixation for unsteady traumatic lesions of the cervical spine |
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Abstract:
Objective:To determine the indications and evaluate the clinical results of the transpedicular screw and rod fixation in the treatment of unsteady traumatic lesions of the cervical spine.
Methods:From February 2002 to February 2004,25 patients with unsteady traumatic lesions of cervical spine were treated with transpedicular screw and rod fixation and decompression.Among them,16 cases were male,9 cases were female;all the patients were 28 to 67 years old with average 47.4 years of age.According to Frankel grade of spinal injury,7 cases were grade A,7 cases were grade B,3 cases were grade C,3 cases were grade D and 5 cases were grade E.Totally 116 screws were implanted through pedicle of vertebral arch.The condition of reposition and nerve functional restoration in the patients were observed.
Results:No injuries of nerve and blood vessel were found in all the patients.An infection of incision occurred in only 1 case.Reposition and decompression were both satisfactory.All the patients were followed up for 9 months to 2.5 years with an average of 2 years.Nerve functional restoration were obtained 1～3 degrees in 18 cases of incompletely spinal injury.
Conclusion:Transpedicular screw and rod internal fixation system can obtain immediately reposition and decompression and produce a good stability.It could be used in unsteady traumatic lesions of the cervical spine. |
| KEYWORDS:Traumatic lesions of cervical spine Pedicle of vertebral arch Decompression Internal fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 龚遂良,戴嘉平.椎弓根钉棒固定治疗不稳定型颈椎损伤[J].中国骨伤,2005,18(10):599~600 |
| 英文格式: | GONG Sui-liang,DAI Jia-ping.Transpedicular screw and rod fixation for unsteady traumatic lesions of the cervical spine[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(10):599~600 |
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